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Simplifying the Work of Workers' Compensation



Arkansas Workers' Compensation Information

  • Home
  • States
  • Workers' Compensation Information


  • State Telephone Numbers
  • State Forms
  • State Rules & Statutes

Please Note: for Claims assistance or questions about coverage and exemptions You will need to call one of the numbers listed below.

Also be aware that the Workers' Compensation Assistance Offices in different states may go by different names such as "Industrial Accidents".
These are the only numbers that we are aware of and have available for Arkansas Workers' Compensation.


Arkansas Workers' Compensation Telephone Directory


Clerk of the Commission: 501-682-2519

Workers' Compensation Commission: 501-682-3930

WCC Springdale Office - Toll Free: 800-852-5376

Special Funds: 501-682-2771

Adjudication Division: 501-682-3930

Administrative Services Division: 501-682-2615

Executive Offices: 501-371-2500

Workers' Compensation Contact - Forms 1,C, M: 501-682-2774

Full Commission: 501-683-3406

Information Technology Division: 501-682-2719

Library - Fax Number: 501-682-2048

Medical Cost Containment Division: 501-682-2673

Operations & Compliance Division: 501-682-2616

Workers' Compensation Commission - Toll Free: 800-622-4472

Workers' Comp. Contact - Form S, 5, Form 2 extension, Form 3 Medical Reports: 501-682-2497

Workers' Compensation Contact - Form D, V: 501-682-5262

Workers' Compensation Contact - Form L: 501-682-2694

Workers' Compensation - Form O: 501-682-2064

Workers' Compensation Contact - Form 2: 501-682-2668

Workers' Compensation Contact - Form 4: 501-682-2641

AWCC Voluntary Drug Free Workplace Program: 501-682-2063

AWCC Voluntary Drug Free Workplace Program - Toll Free : 800-822-4472

Administrative Assistant to Administrative Law Judge Eric Wells -TF & Email Address: 800-852-5376

Legal Advisor Direct - Toll Free: 800-250-2511

Administrative Assistant to Administrative Law Judge Terry Lucy - Email Address: 501-682-5087

Administrative Assistant to Administrative Law Judge Micheal Pickens - Email Address: 501-682-5036

Administrative Assistant to Administrative Law Judge Joseph C. Self - Email Address: 800-852-5376

Administrative Assistant to Administrative Law Judge Stewart - Email Address: 800-852-5376

Administrative Assistant to Chief Administrative Law Judge O. Milton Fine II - Email : 501-682-3540

Administrative Assistant to Administrative Law Judge Katie Anderson - Email Address: 501-682-2210

Administrative Assistant to Administrative Law Judge Chandra Black - Email Address: 501-682-5092

WCC Springdale Office : 479-756-5960

Fraud (Criminal Investigation): 866-660-0888

Electronic Data Interchange (EDI) - Toll Free: 800-622-4472

Electronic Data Interchange (EDI): 501-682-3930

Insurance Department Commissioner Alan McClain - Main Number: 501-371-2600

Insurance Department - Toll Free Number: 800-282-9134

Mine Safety & Health Training: 501-690-8968

Department of Safety & Health (ADOSH): 501-690-5271

OSHA - Little Rock Area Ofc. - Federal OSHA covers private Employers/Employees in AR: 501-224-1841

Forms & Publications


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Some "Revision Dates" may be displayed as part of the Description.

(form1) First Report of Injury or Illness 1/02
(form1 RD) Form 1 Required Data. 1/13
(form2) Employer Intent to Accept or Controvert Claim 1/13
(form2 RD) Form 2 Required Data 1/1/13
(form3) Physician's Report 1/01
(form4) Report of Compensation Paid/Suspension Report 1/11
(form4 RD) Form 4 Required Data 1/13
(forma) Application for Certificate of Non Coverage 1/08
(forma s) Application for Certificate of Non-Coverage Required Notary Statement 1/08
(formc) Claim for Compensation 6/14
(formcsp) Claim for Compensation (Spanish) 8/06
(formd) Death and Permanent Total Disability Acceptance/Update 1/01
(formd RD) Form D Required Data N/D
(forml) Lump Sum Request/Respondent's Position 1/01
(formm) Monthly Medical-Only Injury Data 1/01
(formo) Claim Office / Medical Billing / Administrator / Underwriter Designation Form 7/17
(formr) Report of Mediation Conference 1/01
(forms) Supplemental Report 1/01
(formv) Verification of Permanent-Total Disability 1/01
(formw) Wage Statement 1/01
(formhs-31a) Application for Approved Professional Safety Source (APSS) and/or Field Safety Representative (FSR) 1/08
(formhs-31c) Accident Prevention Services Annual Report 7/10
(formhs-31d) Accident Prevention Services Worksheet 7/10
(formhs-31-e) List of FSR/APSS 1/01
(formhs-32a) Hazard Survey Report 1/08
Health and Safety Plan Cover Sheet 1/08
(formhs-32-c) Notification of Potential Error 1/01
(formhs-36a) Voluntary Drug-Free Workplace Program Application 7/10
(formhs-36b) Voluntary Drug-Free Workplace Program Annual Insurance Carrier Report 1/08
(formsi-1) Individual Self-Insurer Application 8/06
(formsi-11) Group Self-Insurance Application 8/06
(formsi-12) Application for Membership in a Group 8/06
(formsi-tpa) Third-Party Administrator Application / Registration 9/19
(mileage) Medical Mileage Worksheet N/D
(medrelease) Authorization for Release of Medical Records N/D
  • Arkansas Rules
  • Arkansas Statutes
  • Misc Related Statutes

Rule 1 Commission Location and Sessions


  • Rule 1 Commission Location and Sessions
  • Rule 2 Rulemaking Procedure


  • Rule 2 Rulemaking Procedure
  • Rule 3 Carrier Reporting Requirement


  • Rule 3 Carrier Reporting Requirement
  • Rule 4 Termination Of Coverage By Insurance Carrier: Employer To Obtain New Coverage


  • Rule 4 Termination Of Coverage By Insurance Carrier: Employer To Obtain New Coverage
  • Rule 5 Self-Insurance Program


  • Part I General - All Self-Insurers

  • Part II Individual Self-Insurer- Application

  • Part III Group Self-Insurer- Application
  • Rule 6 Non-Statutory Employers Elective Coverage


  • Rule 6 Non-Statutory Employers Elective Coverage
  • Rule 7 Posting Required Notice


  • Rule 7 Posting Required Notice
  • Rule 8 Reporting Injuries or Deaths


  • Rule 8 Reporting Injuries or Deaths
  • Rule 9 Weekly Benefit Waiting Period


  • Rule 9 Weekly Benefit Waiting Period
  • Rule 10 Separate Check Payment, Attorneys Fees


  • Rule 10 Separate Check Payment, Attorneys Fees
  • Rule 11 Jurisdiction, Remands & Mandates


  • Rule 11 Jurisdiction, Remands & Mandates
  • Rule 12 Compensation, Finger Amputation


  • Rule 12 Compensation, Finger Amputation
  • Rule 13 Commission Hearings & Administrative Law Judges


  • Rule 13 Commission Hearings & Administrative Law Judges
  • Rule 14 Physicians Testimony & Reports


  • Rule 14 Physicians Testimony & Reports
  • Rule 15 Pretrial Conferences


  • Rule 15 Pretrial Conferences
  • Rule 16 Depositions


  • Rule 16 Depositions
  • Rule 17 Oral Arguments


  • Rule 17 Oral Arguments
  • Rule 18 Filings With the Commission or Appellate Courts


  • Rule 18 Filings With the Commission or Appellate Courts
  • Rule 19 Joint Petition Settlements


  • Rule 19 Joint Petition Settlements
  • Rule 20 Reporting Costs, Transcription Costs, Witness Fees


  • Rule 20 Reporting Costs, Transcription Costs, Witness Fees
  • Rule 21 Treatment at Veterans Hospitals


  • Rule 21 Treatment at Veterans Hospitals
  • Rule 22 Replacement of Prosthesis


  • Rule 22 Replacement of Prosthesis
  • Rule 23 Deviation From Rules


  • Rule 23 Deviation From Rules
  • Rule 24 Second Injury Fund Claims


  • Rule 24 Second Injury Fund Claims
  • Rule 25 Scope of Review on Appeal


  • Rule 25 Scope of Review on Appeal
  • Rule 26 Conferences with Legal Advisor


  • Rule 26 Conferences with Legal Advisor
  • Rule 27 Medical Reports


  • Rule 27 Medical Reports
  • Rule 28 Death/PTD Trust Fund Claims


  • Rule 28 Death/PTD Trust Fund Claims
  • Rule 29 Designated Claim Office / Administrator / Underwriter


  • Rule 29 Designated Claim Office / Administrator / Underwriter
  • Rule 30 Medical Cost Containment Program (Part 1-6)


  • Rule 30 Part I. General Provisions

  • Rule 30 Part 2 Process For Resolving differences Between Carrier And Provider Regarding Bill

  • Rule 30 Part 3 Hearings

  • Rule 30 Part 4 Utilization Review

  • Rule 30 Part 5 Rule Review

  • Rule 30 Part 6 Provider And Facility Fees for Copies Of Medical Records
  • Rule 31 Accident Prevention Services (I-X)


  • I. Purpose and Scope

  • II. Definitions

  • III. Accident Prevention Services

  • IV. Accident Prevention Services Required Inspection

  • V. Accident Prevention Services Notification Requirements

  • VI. Annual Report Requirements

  • VII. Field Safety Representative (FSR)

  • VIII. Approval of Professional Safety Sources

  • IX. Penalties

  • X. Severability
  • Rule 32 Hazardous Employer Program (I-XI)


  • I. Criteria for Identifying Hazardous Employers

  • II. Notice to Hazardous Employers

  • III. Health and Safety Consultation

  • IV. Formulation of Health and Safety Plan

  • V. Follow-Up Inspection by the HSD

  • VI. Report of Follow-Up Inspection

  • VII. Removal from Hazardous Employer Status

  • VIII. Continuation of Hazardous Employer Status

  • IX. Penalties

  • X. Judicial Proceedings

  • XI. Rule Review
  • Rule 33 Managed Care (I-XIX)


  • I. DEFINITIONS

  • II. INITIAL CHOICE OF PHYSICIAN

  • III. REFERRALS

  • IV. CHANGE OF PHYSICIAN

  • V. MULTIPLE MCOs

  • VI. RULES, TERMS, AND CONDITIONS OF MCO/IMCS

  • VII. MCO APPLICATION FOR CERTIFICATION

  • VIII. IMCS's APPLICATION FOR CERTIFICATION

  • IX. REPORTING REQUIREMENTS

  • X. RECORD MAINTENANCE

  • XI. DISPUTE RESOLUTION

  • XII. MONITORING/AUDITING

  • XIII. CHARGES AND FEES

  • XIV. COMPLAINTS/INVESTIGATION

  • XV. SUSPENSION/REVOCATION

  • XVI. SERVICE OF ORDERS

  • XVII. AMENDMENTS/CHANGES

  • XVIII. APPLICABILITY OF RULES
  • Rule 34 Impairment Rating Guide


  • Rule 34 Impairment Rating Guide
  • Rule 35 Electronic Data Interchange Filings (I-VI)


  • I. Electronic Data Interchange - Definition and Purpose

  • II. Transmission and Retrieval of Data

  • III. EDI Project Specifications

  • IV. Transmission to the Commission

  • V. Data Retention, Confidentiality and Database Security

  • VI. Criminal Penalties
  • Rule 36 A Voluntary Program For Drug-Free Workplaces (I-XVII)


  • I. PURPOSE AND SCOPE

  • II. POLICIES

  • III. DEFINITIONS

  • IV. WRITTEN POLICY STATEMENT: NOTICE TO JOB APPLICANTS AND EMPLOYEES

  • V. TYPES OF TESTING

  • VI. REFUSAL TO TEST

  • VII. TESTING PROCEDURES AND LABORATORY REQUIREMENTS

  • VIII. COST OF TESTING

  • IX. EMPLOYEE PROTECTION

  • X. EMPLOYER PROTECTION

  • XI. SUBSTANCE ABUSE EDUCATION/AWARENESS

  • XII. CONFIDENTIALITY

  • XIII. DRUG FREE PROGRAM APPROVAL PROCESS

  • XIV. APPEAL PROCESS

  • XV. RATING PLANS

  • XVI. SEVERABILITY

  • XVII. EFFECTIVE DATE
  • Rule 37 Occupational Carpal Tunnel Syndrome


  • I. Authority and Purpose

  • II. Applicability and Effective Date

  • III. Introduction

  • IV. Diagnosis

  • V. Nerve Conduction Studies

  • VI. Work-relatedness

  • VII. Management
  • Rule 38 Third Party Administrators


  • Rule 38 Third Party Administrators
  • Rule 39 Filing Requirements / Report Cards / Sanctions


  • I. FORM FILING / PAYMENT REQUIREMENTS

  • II. TIMELINESS STANDARDS / REPORTS

  • III. SANCTIONS

  • IV. Fines
  • Rule 40 Carrier Premium Tax Auditing


  • Rule 099.40 Carrier Premium Tax Auditing
  • Rule 41 Arkansas Workers' Compensation Drug Formulary


  • Part I. General Provisions

  • Part II. Process for Requiring all Payors to contract with a Pharmacist and Physician or Medical Director or PBM who has contracted with a Pharmacist and Physician or Medical Director.

  • Part III. Opioid Medications

  • Part IV. Process for Filling Workers' Compensation Prescriptions

  • Part V. Process for Resolving Disputes Between Provider and Reviewing Pharmacist or PBM

  • Part VI. Hearings

  • Part VII. Rule Review

  • Part VIII. Effective Date of Rule
  • Title 11 Labor and Industrial Relations Chapter 1 Subchapter 2 Empower Independent Contractors Act of 2019. [Effective 91 days after final adjournment of the 2019 Regular Session.]


  • 11-1-201. Title

  • 11-1-202. Purpose

  • 11-1-203. Definition.

  • 11-1-204. Determination of employment status.
  • Title 11 Labor and Industrial Relations Chapter 9 Workers' Compensation

    Subchapter 1 General Provisions (11-9-101 through 11-9-118)


  • 11-9-101. Title - Purpose.

  • 11-9-102. Definitions.

  • 11-9-103. Applicability.

  • 11-9-104. Effect of unconstitutionality.

  • 11-9-105. Remedies exclusive - Exception.

  • 11-9-106. Penalties for misrepresentation.

  • 11-9-107. Penalties for discrimination for filing claim.

  • 11-9-108. Waiver of compensation void - Exception.

  • 11-9-109. Agreement to pay premium void.

  • 11-9-110. Compensation nonassignable, etc., and payable to dependents only - Child support obligations excepted.

  • 11-9-111. Compensation payable to certain alien dependents.

  • 11-9-112. Preference for due compensation.

  • 11-9-113. Mental injury or illness.

  • 11-9-114. Heart or lung injury or illness.

  • 11-9-115. Disclosure of child support obligations.

  • 11-9-116. Fund transfer to support Workers' Compensation Fraud Unit of the State Insurance Department.

  • 11-9-117. Carpal tunnel syndrome guidelines.

  • 11-9-118. Provider payments while claims are pending.
  • Subchapter 2 Workers Compensation Commission (11-9-201 through 11-9-210)


  • 11-9-201. Members - Appointment - Compensation.

  • 11-9-202. Members - Bond.

  • 11-9-203. Members - Removal.

  • 11-9-204. Proceedings.

  • 11-9-205. Administration of chapter - Staff and expenditures.

  • 11-9-206. Traveling expenses for members and employees.

  • 11-9-207. Powers and duties.

  • 11-9-208. Biennial report

  • 11-9-209. Statistical data collection.

  • 11-9-210. Purchase of annuity contracts - Funding of Death and Permanent Total Disability Trust Fund obligations.
  • Subchapter 3 Funds -- Taxes and Fees (11-9-301 through 11-9-307)


  • 11-9-301. Funds established.

  • 11-9-302. Qualifying fees for carriers, third-party administrators, and self-insurers.

  • 11-9-303. Payment of tax by carrier.

  • 11-9-304. Payment of tax by self-insurer.

  • 11-9-305. Payment of tax by public employer. [Effective until January 1, 2006.]

  • 11-9-306. Certification of surplus and rate of taxation. [Effective until January 1, 2006.]

  • 11-9-307. Certification of cost of administering Public Employee Claims Division.
  • Subchapter 4 Employer Liability--Insurance (11-9-401 through 11-9-411)


  • 11-9-401. Employer's liability for compensation.

  • 11-9-402. Liability of prime contractors and subcontractors - Sole proprietorships or partnerships.

  • 11-9-403. Waiver of exclusion or exemption.

  • 11-9-404. Security for compensation.

  • 11-9-405. Substitution of carrier for employer.

  • 11-9-406. Failure to secure payment of compensation - Penalty.

  • 11-9-407. Posting notice of compliance.

  • 11-9-408. Insurance policies.

  • 11-9-409. Safety and health loss control consultative services.

  • 11-9-410. Third-party liability.

  • 11-9-411. Effect of payment by other insurers.

  • 11-9-412. Motor carrier drivers -- Definitions
  • Subchapter 5 Accidental Injury or Death (11-9-501 through 11-9-530)


  • 11-9-501. Limitations on compensation - Death and disability.

  • 11-9-502. Limitations on compensation - Exceptions.

  • 11-9-503. Violation of safety provisions.

  • 11-9-504. Additional compensation - Illegally employed minor.

  • 11-9-505. Additional compensation - Rehabilitation.

  • 11-9-506. Limitations on compensation - Recipients of unemployment benefits.

  • 11-9-507. Special project to improve safety.

  • 11-9-508. Medical services and supplies - Liability of employer.

  • 11-9-509. Medical services and supplies - Amounts and time periods.

  • 11-9-510. Medical services and supplies - Contest of liability.

  • 11-9-511. Medical services and supplies - Physical examination.

  • 11-9-512. Medical services and supplies - Refusal to submit to operation.

  • 11-9-513. Medical services and supplies - Approval of charges.

  • 11-9-514. Medical services and supplies - Change of physician.

  • 11-9-515. Medical services and supplies - Spiritual treatment.

  • 11-9-516. Medical services and supplies - Information furnished by provider.

  • 11-9-517. Medical services and supplies - Rules and regulations.

  • 11-9-518. Weekly wages as basis for compensation.

  • 11-9-519. Compensation for disability - Total disability.

  • 11-9-520. Compensation for disability - Temporary partial disability.

  • 11-9-521. Compensation for disability - Scheduled permanent injuries.

  • 11-9-522. Compensation for disability - Unscheduled permanent partial disability.

  • 11-9-523. Compensation for disability - Hernia.

  • 11-9-524. Compensation for disability - Disfigurement.

  • 11-9-525. Compensation for disability - Second injuries.

  • 11-9-526. Compensation for disability - Refusal of employee to accept employment.

  • 11-9-527. Compensation for death.

  • 11-9-528. Employer records.

  • 11-9-529. Employer reports.

  • 11-9-530. Managed care implementation.
  • Subchapter 6 Occupational Disease (11-9-601 through 11-9-603)


  • 11-9-601. Compensation generally.

  • 11-9-602. Compensation for silicosis or asbestosis.

  • 11-9-603. Practice and procedure.
  • Subchapter 7 Proceeding Before Workers' Compensation Commission (11-9-701 through 11-9-717)


  • 11-9-701. Notice of injury or death.

  • 11-9-702. Filing of claims.

  • 11-9-703. Preliminary conference procedure.

  • 11-9-704. Proceedings on claims.

  • 11-9-705. Nature of proceedings generally.

  • 11-9-706. Conduct of proceedings - Contempt.

  • 11-9-707. Presumptions.

  • 11-9-708. Depositions.

  • 11-9-709. Witness fees.

  • 11-9-710. Attorneys.

  • 11-9-711. Finality of order or award - Review.

  • 11-9-712. Enforcement of order or award.

  • 11-9-713. Modification of awards.

  • 11-9-714. Costs in proceedings brought without reasonable grounds.

  • 11-9-715. Fees for legal services.

  • 11-9-716. Lump-sum attorney's fees.

  • 11-9-717. Attorney's signature.
  • Subchapter 8 Payment (11-9-801 through 11-9-813)


  • 11-9-801. Methods of payment.

  • 11-9-802. Installments.

  • 11-9-803. Controversion of right to compensation.

  • 11-9-804. Lump-sum settlement.

  • 11-9-805. Joint petition for final settlement.

  • 11-9-806. Disputed source of benefits.

  • 11-9-807. Credit for compensation or wages paid.

  • 11-9-808. Deposit or bond to secure payment.

  • 11-9-809. Interest.

  • 11-9-810. Notice of payment.

  • 11-9-811. Investigations.

  • 11-9-812. Incarceration of injured employee.

  • 11-9-813. Deductibles.
  • Subchapter 9 Workers' Compensation Private Sector Self-Insurer Guaranty Fund (11-9-901 through 11-9-911)


  • 11-9-901. Creation - Exemption.

  • 11-9-902. Rules

  • 11-9-903. Liability.

  • 11-9-904. Amount of fund - Assessment - Inadequacy.

  • 11-9-905. Report to board of directors on financial condition of self-insurer.

  • 11-9-906. Money to be vested in corporation - Annual audit.

  • 11-9-907. Investment - Use of funds.

  • 11-9-908. Subrogation.

  • 11-9-909. Action against self-insurer.

  • 11-9-910. Private sector participants.

  • 11-9-911. Termination of self-insurer status - Liability.
  • Subchapter 10 Revision of Workers' Compensation Laws (11-10-1)


  • 11-9-1001. Legislative declaration.

  • 20-22-809. Workers' compensation.




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